[go: up one dir, main page]

CA2428005A1 - Apparatus and method for deploying a clip to compress body tissue - Google Patents

Apparatus and method for deploying a clip to compress body tissue Download PDF

Info

Publication number
CA2428005A1
CA2428005A1 CA002428005A CA2428005A CA2428005A1 CA 2428005 A1 CA2428005 A1 CA 2428005A1 CA 002428005 A CA002428005 A CA 002428005A CA 2428005 A CA2428005 A CA 2428005A CA 2428005 A1 CA2428005 A1 CA 2428005A1
Authority
CA
Canada
Prior art keywords
clip
actuator
legs
endoscope
hinge
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA002428005A
Other languages
French (fr)
Other versions
CA2428005C (en
Inventor
Kristin A. Jugenheimer
Russell F. Durgin, Jr.
Mark L. Adams
Mark Monroe
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
BOSTON SCIENTIFIC Ltd
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of CA2428005A1 publication Critical patent/CA2428005A1/en
Application granted granted Critical
Publication of CA2428005C publication Critical patent/CA2428005C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/122—Clamps or clips, e.g. for the umbilical cord
    • A61B17/1227—Spring clips
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/122—Clamps or clips, e.g. for the umbilical cord
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/128—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/128—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips
    • A61B17/1285—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord for applying or removing clamps or clips for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/08—Wound clamps or clips, i.e. not or only partly penetrating the tissue ; Devices for bringing together the edges of a wound
    • A61B17/083—Clips, e.g. resilient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00535—Surgical instruments, devices or methods pneumatically or hydraulically operated
    • A61B2017/00539—Surgical instruments, devices or methods pneumatically or hydraulically operated hydraulically
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00535—Surgical instruments, devices or methods pneumatically or hydraulically operated
    • A61B2017/00544—Surgical instruments, devices or methods pneumatically or hydraulically operated pneumatically
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00535—Surgical instruments, devices or methods pneumatically or hydraulically operated
    • A61B2017/00557—Surgical instruments, devices or methods pneumatically or hydraulically operated inflatable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/2812—Surgical forceps with a single pivotal connection
    • A61B17/2833—Locking means
    • A61B2017/2837—Locking means with a locking ratchet
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B2017/2926—Details of heads or jaws
    • A61B2017/2932—Transmission of forces to jaw members
    • A61B2017/2943—Toothed members, e.g. rack and pinion

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Reproductive Health (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

A system and method for delivering a sugical clip to a surgical site within a patient's body to compress body tissue is disclosed. In one embodiment for the system of the present invention, the system includes an endoscopis device that has an endoscope cap disposed on a distal end of the endoscopic device. A surgical clip is removably disposed on an outside surface of the endoscope cap. A deployment device is associated with the surgical clip for deploying the surgical clip (110) from the endoscope cap to the body tissue that is to be compressed. The surgical clip can be a deformable clip that is deployed in a non deformed configuration, and is then deformed so as to apply compression on selected tissue. The surgical clip can be a multi legged clip, having a plurality of legs that can be locked in a closed position to apply compression to body tissue.

Claims (39)

What Is Claimed Is:
1. A device for endoscopically deploying an hemostatic clip adapted to grasp tissue in a deformed configuration, comprising:

a body adapted to fit on a distal end of an endoscope and to contain the clip;
a fulcrum portion cooperating with the body and the clip, the fulcrum portion having a first position in contact with hinge points of the clip and a second position releasing the clip from the body; and an actuator exerting a force on push points of the clip to deform the clip, wherein, in the first position, the fulcrum portion retains the clip against the force exerted by the actuator to facilitate deformation of the clip.
2 The device according to claim 1, wherein the fulcrum portion retains the clip in the body when in the first position.
3 The device according to claim 1, wherein the actuator ejects the clip from the body after deformation.
4 The device according to claim 1, further comprising a second actuator to move the fulcrum portion between the first and second positions.
The device according to claim 4, wherein the second actuator is a sliding sleeve actuated by a cable.
6. The device according to claim 1, wherein the actuator comprises at least a piston pushing the push points of the clip.
7 The device according to claim 1, wherein the clip comprises two push points and two hinge points alternating along a circumference of the clip.
8 The device according to claim 5, wherein the piston is actuated hydraulically.
9 The device according to claim 1, wherein the hemostatic clip is adapted to deform about the hinge points.
The device according to claim 9, wherein the clip is substantially ring shaped.
11 The device according to claim 10, wherein the clip comprises a serrated tissue grasping edge.
12 The device according to claim 4, wherein the actuator and second actuator are linked.
13 The device according to claim 1, wherein the fulcrum portions extend from the hinge points of the clip.
14 The device according to claim 13, wherein the fulcrum portions are deformable when subject to a force greater than a deformation force of the clip.
The device according to claim 4, wherein the actuator and second actuator are integrally formed.
16 The device according to claim 1, wherein the fulcrum portion is formed to resiliently retain one of the first and second positions.
17 The device according to claim 16, further comprising a removable retainer to selectively retain the fulcrum portion in the other of the first and second position.
18. The device according to claim 4, wherein the fulcrum portion is attached to the sliding sleeve.
19 The device according to claim 18, wherein the fulcrum portion moves along cam surfaces of the sliding sleeve.
20 The device according to claim 1, further comprising hollow protrusions axially extending along the body.
21 ~A device for endoscopically deploying an hemostatic multi legged clip adapted to compress tissue, comprising:
a ring portion adapted to fit on a distal end of an endoscope;
a plurality of legs attached to the ring portion, each of the legs being movable between an open position and a closed position to compress tissue; and a locking mechanism to restrict movement of each of the legs from the closed to the open position.
22 ~The device according to claim 21, wherein the locking mechanism is a ratchet mechanism.
23 ~The device according to claim 22, wherein the ratchet mechanism comprises a plurality of snaps formed on one of the legs and the ring portion.
24 ~The device according to claim 21, further comprising a hinge connecting the ring portion to each of the legs.
25 ~The device according to claim 24, wherein the hinge is a living hinge.
26 ~The device according to claim 24, wherein the hinge is a pin and slot hinge, the pin extending from one of the ring portion and each of the legs.
27 ~The device according to claim 21, further comprising a catch to mechanically retain the legs in the open position.
28 ~The device according to claim 24, wherein the hinge is a four bar mechanism.
29 ~The device according to claim 21, further comprising resilient devices adapted to urge the legs in one of the open and closed positions.
30 ~The device according to claim 21, further comprising an actuator mechanism to move each of the legs from the open to the closed position.
31 ~The device according to claim 30, wherein the actuator mechanism comprises strings pulling each of the legs in the close position.
32 ~The device according to claim 30, wherein the actuator mechanism comprises a rack and pinion arrangement.
33 ~The device according to claim 30, wherein the actuator mechanism comprises a hydraulic piston exerting a force on each of the legs.
34 ~The device according to claim 30, wherein the actuator mechanism comprises a remotely operated sheath moving each of the legs to the closed position.
35 ~The device according to claim 21, further comprising a releasable attachment connecting the multi legged clip to the endoscope.
36 ~The device according to claim 35, wherein the releasable attachment comprises a thread forming a stitch between the multi legged clip and the endoscope.
37 ~The device according to claim 35, wherein the releasable attachment comprises a seal connecting the multi legged clip to the endoscope, and a thread embedded in the seal, such that removal of the thread cuts the seal.
38 ~The device according to claim 35, wherein the releasable attachment comprises a protrusion extending from one of the multi legged clip and the endoscope and a complementary groove formed in the other of the multi legged clip and the endoscope, wherein the protrusion and the groove are connected frictionally.
39 ~The device according to claim 35, wherein the releasable attachment comprises a catch extending from one of the multi legged clip and the endoscope, a complementary slot formed in the other of the multi legged clip and the endoscope, and an actuator for releasing the catch from the groove to release the multi legged clip.
CA002428005A 2001-09-21 2002-06-26 Apparatus and method for deploying a clip to compress body tissue Expired - Fee Related CA2428005C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US09/957,356 2001-09-21
US09/957,356 US6911032B2 (en) 1999-11-18 2001-09-21 Apparatus and method for compressing body tissue
PCT/US2002/019969 WO2003026516A1 (en) 2001-09-21 2002-06-26 Apparatus and method for deploying a clip to compress body tissue

Publications (2)

Publication Number Publication Date
CA2428005A1 true CA2428005A1 (en) 2003-04-03
CA2428005C CA2428005C (en) 2009-12-15

Family

ID=25499466

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002428005A Expired - Fee Related CA2428005C (en) 2001-09-21 2002-06-26 Apparatus and method for deploying a clip to compress body tissue

Country Status (7)

Country Link
US (4) US6911032B2 (en)
EP (1) EP1435849B1 (en)
JP (1) JP4339114B2 (en)
AU (1) AU2002322300B2 (en)
CA (1) CA2428005C (en)
DE (1) DE60239549D1 (en)
WO (1) WO2003026516A1 (en)

Families Citing this family (303)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8845711B2 (en) * 2007-10-19 2014-09-30 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
US6428548B1 (en) * 1999-11-18 2002-08-06 Russell F. Durgin Apparatus and method for compressing body tissue
US6679264B1 (en) 2000-03-04 2004-01-20 Emphasys Medical, Inc. Methods and devices for use in performing pulmonary procedures
US6904909B2 (en) * 2000-03-04 2005-06-14 Emphasys Medical, Inc. Methods and devices for use in performing pulmonary procedures
US20020055759A1 (en) * 2000-11-06 2002-05-09 Shibuya Terry Y. Bioactive surgical suture
US7094245B2 (en) * 2001-10-05 2006-08-22 Scimed Life Systems, Inc. Device and method for through the scope endoscopic hemostatic clipping
US10098640B2 (en) 2001-12-04 2018-10-16 Atricure, Inc. Left atrial appendage devices and methods
DE60325711D1 (en) 2002-04-15 2009-02-26 Wilson Cook Medical Inc HEMOSTATIC CLAMPING DEVICE
US7731655B2 (en) 2002-09-20 2010-06-08 Id, Llc Tissue retractor and method for using the retractor
US7223266B2 (en) 2003-02-04 2007-05-29 Cardiodex Ltd. Methods and apparatus for hemostasis following arterial catheterization
US7115127B2 (en) * 2003-02-04 2006-10-03 Cardiodex, Ltd. Methods and apparatus for hemostasis following arterial catheterization
WO2004080290A2 (en) 2003-03-11 2004-09-23 Tyco Healthcare Group, Lp Clip applying apparatus with angled jaw
EP1613222A4 (en) * 2003-03-23 2010-04-28 E S Vascular Ltd Supplementary vascular clamp for the tool kit of an open approach stapler
US20050080444A1 (en) * 2003-10-14 2005-04-14 Kraemer Stefan J.M. Transesophageal gastric reduction device, system and method
US20050251204A1 (en) * 2004-05-06 2005-11-10 Jurg Attinger Wound clamp
US7645285B2 (en) 2004-05-26 2010-01-12 Idx Medical, Ltd Apparatus and methods for occluding a hollow anatomical structure
US8663245B2 (en) * 2004-06-18 2014-03-04 Medtronic, Inc. Device for occlusion of a left atrial appendage
US8409219B2 (en) 2004-06-18 2013-04-02 Medtronic, Inc. Method and system for placement of electrical lead inside heart
EP1611850A1 (en) * 2004-06-28 2006-01-04 Cardio Life Research S.A. Occlusion and tight punction device for an anatomical structure
US7637925B2 (en) * 2004-06-28 2009-12-29 Cardio Life Research S.A. Surgical staple
GB0420505D0 (en) * 2004-09-14 2004-10-20 Wild Andrew M Apparatus for dispensing surgical clips
US9763668B2 (en) 2004-10-08 2017-09-19 Covidien Lp Endoscopic surgical clip applier
US7819886B2 (en) 2004-10-08 2010-10-26 Tyco Healthcare Group Lp Endoscopic surgical clip applier
JP5103183B2 (en) 2004-10-08 2012-12-19 タイコ ヘルスケア グループ リミテッド パートナーシップ Endoscopic surgical clip applier
US8409222B2 (en) 2004-10-08 2013-04-02 Covidien Lp Endoscopic surgical clip applier
CA2582716C (en) 2004-10-08 2013-05-28 Ernest Aranyi Apparatus for applying surgical clips
US8876820B2 (en) 2004-10-20 2014-11-04 Atricure, Inc. Surgical clamp
JP5068662B2 (en) 2004-11-22 2012-11-07 カーディオデックス リミテッド Heat treatment technology for varicose veins
WO2006097931A2 (en) 2005-03-17 2006-09-21 Valtech Cardio, Ltd. Mitral valve treatment techniques
US8333777B2 (en) 2005-04-22 2012-12-18 Benvenue Medical, Inc. Catheter-based tissue remodeling devices and methods
US20060264710A1 (en) * 2005-05-02 2006-11-23 Donald Spector Surgical method and apparatus using suction to hold tissue
US8951285B2 (en) 2005-07-05 2015-02-10 Mitralign, Inc. Tissue anchor, anchoring system and methods of using the same
AU2006267056C1 (en) * 2005-07-14 2013-03-28 Atricure, Inc. Apparatus and methods for occluding a hollow anatomical structure
US20070061001A1 (en) * 2005-09-13 2007-03-15 Advanced Cardiovascular Systems, Inc. Packaging sheath for drug coated stent
DE202006000329U1 (en) * 2006-01-11 2006-03-02 Aesculap Ag & Co. Kg Surgical ligature clip
EP1983906B1 (en) * 2006-02-15 2011-11-02 Ethicon Endo-Surgery, Inc. A clip for the intraluminal treatment of tissue, e.g. hemorrhoids
CA2645139C (en) * 2006-03-10 2011-06-21 Wilson-Cook Medical Inc. Clip device and protective cap for drawing the target tissue into it before the clip is deployed
CN101453957B (en) * 2006-03-25 2011-04-20 亚庞诺斯医疗公司 Self closing tissue fastener
US20070233187A1 (en) * 2006-04-04 2007-10-04 Medtronic Vascular, Inc. Self-closing medical staple
WO2007131110A2 (en) 2006-05-03 2007-11-15 Raptor Ridge, Llc Systems and methods of tissue closure
JP2009537233A (en) * 2006-05-18 2009-10-29 アポノス・メデイカル・コーポレイシヨン Multi-function instrument introducer
US20070282355A1 (en) * 2006-06-01 2007-12-06 Wilson-Cook Medical Inc. Release mechanisms for a clip device
ATE547143T1 (en) * 2006-07-14 2012-03-15 Cook Medical Technologies Llc PAPILLA SPREADERS
EP1913881B1 (en) 2006-10-17 2014-06-11 Covidien LP Apparatus for applying surgical clips
US9883943B2 (en) 2006-12-05 2018-02-06 Valtech Cardio, Ltd. Implantation of repair devices in the heart
WO2010004546A1 (en) 2008-06-16 2010-01-14 Valtech Cardio, Ltd. Annuloplasty devices and methods of delivery therefor
AU2007329614B2 (en) * 2006-12-05 2013-03-14 Cook Medical Technologies Llc Combination therapy hemostatic clip
AU2007330338A1 (en) 2006-12-05 2008-06-12 Valtech Cardio, Ltd. Segmented ring placement
US11259924B2 (en) 2006-12-05 2022-03-01 Valtech Cardio Ltd. Implantation of repair devices in the heart
CN101588760B (en) * 2007-01-26 2012-05-09 奥林巴斯医疗株式会社 Holding device and holding tool
US20080221437A1 (en) * 2007-03-09 2008-09-11 Agro Mark A Steerable snare for use in the colon and method for the same
US11660190B2 (en) 2007-03-13 2023-05-30 Edwards Lifesciences Corporation Tissue anchors, systems and methods, and devices
US8382773B2 (en) 2007-03-26 2013-02-26 Covidien Lp Endoscopic surgical clip applier
US20080243141A1 (en) 2007-04-02 2008-10-02 Salvatore Privitera Surgical instrument with separate tool head and method of use
CN102327136B (en) 2007-04-11 2014-04-23 柯惠Lp公司 Surgical clip applier
US20080277445A1 (en) * 2007-05-07 2008-11-13 Zergiebel Earl M Single fire tacker instrument
US20090043317A1 (en) * 2007-08-08 2009-02-12 Cavanaugh Brian J Method and apparatus for delivery of a ligating suture
WO2009023866A1 (en) * 2007-08-15 2009-02-19 Cardiodex Ltd. Systems and methods for puncture closure
WO2009046356A1 (en) * 2007-10-05 2009-04-09 Cardiodex Ltd. Systems and methods for puncture closure
WO2009089101A2 (en) * 2008-01-03 2009-07-16 Wilson-Cook Medical, Inc. Medical systems, devices and methods for endoscopically suturing perforations
US8382829B1 (en) 2008-03-10 2013-02-26 Mitralign, Inc. Method to reduce mitral regurgitation by cinching the commissure of the mitral valve
US8764773B2 (en) * 2008-04-09 2014-07-01 Novogi Ltd. Surgical port for notes procedures
US20090270912A1 (en) * 2008-04-23 2009-10-29 Wilson-Cook Medical Inc. Tacking device
US20100016885A1 (en) * 2008-07-21 2010-01-21 Eidenschink Tracee E J Device to close openings in body tissue
WO2010011661A1 (en) 2008-07-21 2010-01-28 Atricure, Inc. Apparatus and methods for occluding an anatomical structure
WO2010022060A1 (en) 2008-08-19 2010-02-25 Wilson-Cook Medical Inc. Apparatus for removing lymph nodes or anchoring into tissue during a translumenal procedure
US20110208212A1 (en) 2010-02-19 2011-08-25 Zergiebel Earl M Surgical clip applier
US8465502B2 (en) 2008-08-25 2013-06-18 Covidien Lp Surgical clip applier and method of assembly
US8056565B2 (en) 2008-08-25 2011-11-15 Tyco Healthcare Group Lp Surgical clip applier and method of assembly
US8764768B2 (en) * 2008-08-29 2014-07-01 Cook Medical Technologies Llc Stapling device for closing perforations
US8585717B2 (en) 2008-08-29 2013-11-19 Covidien Lp Single stroke endoscopic surgical clip applier
US8267944B2 (en) 2008-08-29 2012-09-18 Tyco Healthcare Group Lp Endoscopic surgical clip applier with lock out
US9358015B2 (en) 2008-08-29 2016-06-07 Covidien Lp Endoscopic surgical clip applier with wedge plate
US8409223B2 (en) 2008-08-29 2013-04-02 Covidien Lp Endoscopic surgical clip applier with clip retention
US8192461B2 (en) 2008-09-11 2012-06-05 Cook Medical Technologies Llc Methods for facilitating closure of a bodily opening using one or more tacking devices
US9119714B2 (en) * 2008-10-29 2015-09-01 The Regents Of The University Of Colorado, A Body Corporate Shape memory polymer prosthetic medical device
US8920311B2 (en) * 2008-11-18 2014-12-30 Aponos Medical Corp. Adapter for attaching devices to endoscopes
JP5724134B2 (en) 2008-12-09 2015-05-27 クック・メディカル・テクノロジーズ・リミテッド・ライアビリティ・カンパニーＣｏｏｋ Ｍｅｄｉｃａｌ Ｔｅｃｈｎｏｌｏｇｉｅｓ Ｌｌｃ Retractable anchoring device
EP2389122B1 (en) 2008-12-19 2015-03-04 Cook Medical Technologies LLC Clip devices
WO2010080387A1 (en) * 2008-12-19 2010-07-15 Wilson-Cook Medical Inc. Variable thickness tacking devices and methods of delivery and deployment
US8808368B2 (en) * 2008-12-22 2014-08-19 Valtech Cardio, Ltd. Implantation of repair chords in the heart
US8926696B2 (en) 2008-12-22 2015-01-06 Valtech Cardio, Ltd. Adjustable annuloplasty devices and adjustment mechanisms therefor
US8241351B2 (en) 2008-12-22 2012-08-14 Valtech Cardio, Ltd. Adjustable partial annuloplasty ring and mechanism therefor
US9011530B2 (en) 2008-12-22 2015-04-21 Valtech Cardio, Ltd. Partially-adjustable annuloplasty structure
US8715342B2 (en) 2009-05-07 2014-05-06 Valtech Cardio, Ltd. Annuloplasty ring with intra-ring anchoring
US10517719B2 (en) 2008-12-22 2019-12-31 Valtech Cardio, Ltd. Implantation of repair devices in the heart
US8147542B2 (en) 2008-12-22 2012-04-03 Valtech Cardio, Ltd. Adjustable repair chords and spool mechanism therefor
US8940044B2 (en) 2011-06-23 2015-01-27 Valtech Cardio, Ltd. Closure element for use with an annuloplasty structure
US8545553B2 (en) 2009-05-04 2013-10-01 Valtech Cardio, Ltd. Over-wire rotation tool
WO2010081041A1 (en) * 2009-01-08 2010-07-15 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
US9393023B2 (en) 2009-01-13 2016-07-19 Atricure, Inc. Apparatus and methods for deploying a clip to occlude an anatomical structure
US20100179588A1 (en) * 2009-01-14 2010-07-15 Medtronic Vascular, Inc. Vascular puncture closure system with guide sheath stabilizer
US9232947B2 (en) 2009-02-17 2016-01-12 The Board Of Trustees Of The Leland Stanford Junior University Closure device and method
US8353956B2 (en) 2009-02-17 2013-01-15 Valtech Cardio, Ltd. Actively-engageable movement-restriction mechanism for use with an annuloplasty structure
US9968452B2 (en) 2009-05-04 2018-05-15 Valtech Cardio, Ltd. Annuloplasty ring delivery cathethers
WO2010129863A1 (en) * 2009-05-07 2010-11-11 Clevex, Inc. Wound closing clips, systems and methods
US8894669B2 (en) 2009-05-12 2014-11-25 Ethicon, Inc. Surgical fasteners, applicator instruments, and methods for deploying surgical fasteners
DE102009022692B8 (en) * 2009-05-26 2013-09-12 Joimax Gmbh Apparatus and method for applying a medical lockable clip in a tissue area
JP2012527970A (en) 2009-05-28 2012-11-12 クック メディカル テクノロジーズ エルエルシー Hail-fastening device and hail-fastening device deployment method
EP3449842B1 (en) * 2009-06-17 2024-09-25 Coherex Medical, Inc. Medical device for modification of left atrial appendage
US9649115B2 (en) 2009-06-17 2017-05-16 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
US9351716B2 (en) 2009-06-17 2016-05-31 Coherex Medical, Inc. Medical device and delivery system for modification of left atrial appendage and methods thereof
US10631969B2 (en) 2009-06-17 2020-04-28 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
US10064628B2 (en) 2009-06-17 2018-09-04 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
US9402757B2 (en) * 2009-08-24 2016-08-02 Cvdevices, Llc Devices, systems and methods for tissue restoration
US9980841B2 (en) 2009-08-24 2018-05-29 Cvdevices, Llc Devices and systems configured to fit around a tissue using the same
US9089391B2 (en) * 2009-08-24 2015-07-28 Cvdevices, Llc Tissue restoration devices, systems, and methods
KR101075531B1 (en) * 2009-09-14 2011-10-20 국립암센터 Hemostatic clip and hemostatic clip operation apparatus using the same
US20110082480A1 (en) * 2009-10-01 2011-04-07 Tyco Healthcare Group Lp Wound closure device including pivotable claws
US20110082473A1 (en) * 2009-10-07 2011-04-07 Tyco Healthcare Group Lp Wound closure device including releasable barbs
US8734469B2 (en) 2009-10-13 2014-05-27 Covidien Lp Suture clip applier
DE102009050829B4 (en) * 2009-10-27 2013-01-24 Ovesco Endoscopy Ag resection
US9180007B2 (en) 2009-10-29 2015-11-10 Valtech Cardio, Ltd. Apparatus and method for guide-wire based advancement of an adjustable implant
US10098737B2 (en) 2009-10-29 2018-10-16 Valtech Cardio, Ltd. Tissue anchor for annuloplasty device
US9011520B2 (en) 2009-10-29 2015-04-21 Valtech Cardio, Ltd. Tissue anchor for annuloplasty device
DE102009051408A1 (en) * 2009-10-30 2011-05-05 Ovesco Endoscopy Ag Medical instrument for setting tissue clips
US8435252B2 (en) * 2009-11-11 2013-05-07 Covidien Lp Wound closure device
US8734467B2 (en) 2009-12-02 2014-05-27 Valtech Cardio, Ltd. Delivery tool for implantation of spool assembly coupled to a helical anchor
US8870950B2 (en) 2009-12-08 2014-10-28 Mitral Tech Ltd. Rotation-based anchoring of an implant
US9186136B2 (en) 2009-12-09 2015-11-17 Covidien Lp Surgical clip applier
US8545486B2 (en) 2009-12-15 2013-10-01 Covidien Lp Surgical clip applier
US8491611B2 (en) 2009-12-18 2013-07-23 DePuy Synthes Products, LLC. Neural tissue retraction and preservation device
US10010336B2 (en) 2009-12-22 2018-07-03 Cook Medical Technologies, Inc. Medical devices with detachable pivotable jaws
US8545519B2 (en) 2009-12-22 2013-10-01 Cook Medical Technologies Llc Medical devices with detachable pivotable jaws
US8771293B2 (en) 2009-12-22 2014-07-08 Cook Medical Technologies Llc Medical devices with detachable pivotable jaws
US12070224B2 (en) 2009-12-22 2024-08-27 Cook Medical Technologies Llc Medical devices with detachable pivotable jaws
US8403945B2 (en) 2010-02-25 2013-03-26 Covidien Lp Articulating endoscopic surgical clip applier
WO2012006153A1 (en) * 2010-06-29 2012-01-12 Yale University Tissue retractor assembly
US11653910B2 (en) 2010-07-21 2023-05-23 Cardiovalve Ltd. Helical anchor implantation
US8968337B2 (en) 2010-07-28 2015-03-03 Covidien Lp Articulating clip applier
US8403946B2 (en) 2010-07-28 2013-03-26 Covidien Lp Articulating clip applier cartridge
US8906042B2 (en) 2010-07-29 2014-12-09 Covidien Lp Wound closure device including mesh barrier
WO2012051200A2 (en) 2010-10-11 2012-04-19 Cook Medical Technologies Llc Medical devices with detachable pivotable jaws
CN103228223B (en) 2010-10-11 2016-07-06 库克医学技术有限责任公司 There is the armarium of detachable pivotable jaws
BR112013008755B1 (en) 2010-10-11 2021-04-27 Cook Medical Technologies Llc MEDICAL DEVICE AND METHOD FOR OPERATING A MEDICAL DEVICE
US9017349B2 (en) 2010-10-27 2015-04-28 Atricure, Inc. Appendage clamp deployment assist device
US9066741B2 (en) 2010-11-01 2015-06-30 Atricure, Inc. Robotic toolkit
US9011464B2 (en) 2010-11-02 2015-04-21 Covidien Lp Self-centering clip and jaw
EP2637577B1 (en) 2010-11-09 2017-10-18 Cook Medical Technologies LLC Clip system having tether segments for closure
US8636754B2 (en) 2010-11-11 2014-01-28 Atricure, Inc. Clip applicator
EP2651316B1 (en) 2010-12-15 2016-07-06 Cook Medical Technologies LLC Medical devices with detachable pivotable jaws
US9186153B2 (en) 2011-01-31 2015-11-17 Covidien Lp Locking cam driver and jaw assembly for clip applier
US9149265B2 (en) 2011-02-26 2015-10-06 Abbott Cardiovascular Systems, Inc. Hinged tissue support device
US9775623B2 (en) 2011-04-29 2017-10-03 Covidien Lp Surgical clip applier including clip relief feature
US10792152B2 (en) 2011-06-23 2020-10-06 Valtech Cardio, Ltd. Closed band for percutaneous annuloplasty
EP2723274B1 (en) 2011-06-23 2017-12-27 Valtech Cardio, Ltd. Closure element for use with annuloplasty structure
AU2012275259A1 (en) 2011-06-28 2014-01-16 Novatract Surgical, Inc. Tissue retractor assembly
KR101063579B1 (en) 2011-07-11 2011-09-07 국립암센터 Hemostatic clip and hemostatic clip operation apparatus using the same
CA3149909A1 (en) 2011-08-15 2013-02-21 Atricure Inc. Surgical device
KR101153707B1 (en) 2011-09-28 2012-06-07 국립암센터 hemostatic clip
EP4324409A3 (en) 2011-11-01 2024-03-13 Coherex Medical, Inc. Medical device for modification of left atrial appendage and related systems and methods
US8858623B2 (en) 2011-11-04 2014-10-14 Valtech Cardio, Ltd. Implant having multiple rotational assemblies
US9724192B2 (en) 2011-11-08 2017-08-08 Valtech Cardio, Ltd. Controlled steering functionality for implant-delivery tool
US20130131697A1 (en) 2011-11-21 2013-05-23 Covidien Lp Surgical clip applier
EP2596756B1 (en) * 2011-11-22 2014-02-26 Ovesco Endoscopy AG Implanting apparatus
CA2858149C (en) 2011-12-12 2017-04-18 David Alon Heart valve repair device
US9364239B2 (en) 2011-12-19 2016-06-14 Covidien Lp Jaw closure mechanism for a surgical clip applier
US9364216B2 (en) 2011-12-29 2016-06-14 Covidien Lp Surgical clip applier with integrated clip counter
US9282973B2 (en) 2012-01-20 2016-03-15 Atricure, Inc. Clip deployment tool and associated methods
US9408610B2 (en) 2012-05-04 2016-08-09 Covidien Lp Surgical clip applier with dissector
US9532787B2 (en) 2012-05-31 2017-01-03 Covidien Lp Endoscopic clip applier
US20140100423A1 (en) * 2012-07-18 2014-04-10 Leonid Monassevitch Endoscopic full thickness resection using surgical compression clips
US9216018B2 (en) 2012-09-29 2015-12-22 Mitralign, Inc. Plication lock delivery system and method of use thereof
EP3730084A1 (en) 2012-10-23 2020-10-28 Valtech Cardio, Ltd. Controlled steering functionality for implant-delivery tool
EP2911593B1 (en) 2012-10-23 2020-03-25 Valtech Cardio, Ltd. Percutaneous tissue anchor techniques
US9901351B2 (en) 2012-11-21 2018-02-27 Atricure, Inc. Occlusion clip
US9730793B2 (en) 2012-12-06 2017-08-15 Valtech Cardio, Ltd. Techniques for guide-wire based advancement of a tool
CN103142269B (en) * 2012-12-28 2014-12-17 苏州天臣国际医疗科技有限公司 Impact assembly for anastomat and anastomat
US9968362B2 (en) 2013-01-08 2018-05-15 Covidien Lp Surgical clip applier
US9113892B2 (en) 2013-01-08 2015-08-25 Covidien Lp Surgical clip applier
WO2014109751A1 (en) * 2013-01-10 2014-07-17 Empire Technology Development, Llc Diverticula removal clamp
US9486132B2 (en) * 2013-01-17 2016-11-08 Abbott Cardiovascular Systems, Inc. Access device for accessing tissue
US9750500B2 (en) 2013-01-18 2017-09-05 Covidien Lp Surgical clip applier
WO2014115149A2 (en) 2013-01-24 2014-07-31 Mitraltech Ltd. Ventricularly-anchored prosthetic valves
EP2961351B1 (en) 2013-02-26 2018-11-28 Mitralign, Inc. Devices for percutaneous tricuspid valve repair
US10449333B2 (en) 2013-03-14 2019-10-22 Valtech Cardio, Ltd. Guidewire feeder
EP2968847B1 (en) 2013-03-15 2023-03-08 Edwards Lifesciences Corporation Translation catheter systems
JP2016526436A (en) * 2013-06-25 2016-09-05 ボストン サイエンティフィック サイムド，インコーポレイテッドＢｏｓｔｏｎ Ｓｃｉｅｎｔｉｆｉｃ Ｓｃｉｍｅｄ，Ｉｎｃ． Hemostatic device with one-way trap
US9775624B2 (en) 2013-08-27 2017-10-03 Covidien Lp Surgical clip applier
US10070857B2 (en) 2013-08-31 2018-09-11 Mitralign, Inc. Devices and methods for locating and implanting tissue anchors at mitral valve commissure
US10299793B2 (en) 2013-10-23 2019-05-28 Valtech Cardio, Ltd. Anchor magazine
WO2015077356A1 (en) 2013-11-19 2015-05-28 Wheeler William K Fastener applicator with interlock
CN106102598B (en) 2013-11-21 2022-04-15 阿特瑞克尔公司 blocking clip
US9610162B2 (en) 2013-12-26 2017-04-04 Valtech Cardio, Ltd. Implantation of flexible implant
JP6396480B2 (en) * 2014-01-17 2018-09-26 ボストン サイエンティフィック サイムド，インコーポレイテッドＢｏｓｔｏｎ Ｓｃｉｅｎｔｉｆｉｃ Ｓｃｉｍｅｄ，Ｉｎｃ． Clip system for treating body tissue
US9936958B2 (en) * 2014-05-16 2018-04-10 Boston Scientific Scimed, Inc. Zip clip
WO2016016899A1 (en) 2014-07-30 2016-02-04 Mitraltech Ltd. Articulatable prosthetic valve
US20160032950A1 (en) * 2014-07-31 2016-02-04 Ta Instruments-Waters L.L.C. Tension clamp devices
EP4331503A3 (en) 2014-10-14 2024-06-05 Edwards Lifesciences Innovation (Israel) Ltd. Leaflet-restraining techniques
US10702278B2 (en) 2014-12-02 2020-07-07 Covidien Lp Laparoscopic surgical ligation clip applier
US9931124B2 (en) 2015-01-07 2018-04-03 Covidien Lp Reposable clip applier
EP3244810B1 (en) 2015-01-15 2020-03-18 Covidien LP Endoscopic reposable surgical clip applier
US10292712B2 (en) 2015-01-28 2019-05-21 Covidien Lp Surgical clip applier with integrated cutter
WO2016125160A1 (en) 2015-02-05 2016-08-11 Mitraltech Ltd. Prosthetic valve with axially-sliding frames
US20160256269A1 (en) 2015-03-05 2016-09-08 Mitralign, Inc. Devices for treating paravalvular leakage and methods use thereof
US10159491B2 (en) 2015-03-10 2018-12-25 Covidien Lp Endoscopic reposable surgical clip applier
WO2016174669A1 (en) 2015-04-30 2016-11-03 Valtech Cardio Ltd. Annuloplasty technologies
USD765246S1 (en) 2015-05-19 2016-08-30 Ethicon, Llc Distal end cap having gripping features
US10004499B2 (en) 2015-05-19 2018-06-26 Ethicon, Llc Applicator instruments having end caps with gripping features
CA2998890A1 (en) 2015-11-03 2017-05-11 Covidien Lp Endoscopic surgical clip applier
US10390831B2 (en) 2015-11-10 2019-08-27 Covidien Lp Endoscopic reposable surgical clip applier
ES2880951T3 (en) 2015-11-10 2021-11-26 Covidien Lp Endoscopic Surgical Staple Applicator with Limited Number of Uses
AU2015414615A1 (en) 2015-11-10 2018-04-12 Covidien Lp Endoscopic reposable surgical clip applier
US10751182B2 (en) 2015-12-30 2020-08-25 Edwards Lifesciences Corporation System and method for reshaping right heart
EP3397207A4 (en) 2015-12-30 2019-09-11 Mitralign, Inc. System and method for reducing tricuspid regurgitation
CN108472044B (en) 2016-01-11 2021-04-16 柯惠有限合伙公司 endoscope-reserved surgical clip applier
EP3405116B1 (en) 2016-01-18 2022-04-20 Covidien LP Endoscopic surgical clip applier
US10531866B2 (en) 2016-02-16 2020-01-14 Cardiovalve Ltd. Techniques for providing a replacement valve and transseptal communication
CA2958160A1 (en) 2016-02-24 2017-08-24 Covidien Lp Endoscopic reposable surgical clip applier
US10485526B2 (en) * 2016-05-16 2019-11-26 Boston Scientific Scimed, Inc. Devices and methods for reducing a dimension of openings in tissue
US10702274B2 (en) 2016-05-26 2020-07-07 Edwards Lifesciences Corporation Method and system for closing left atrial appendage
GB201611910D0 (en) 2016-07-08 2016-08-24 Valtech Cardio Ltd Adjustable annuloplasty device with alternating peaks and troughs
US20190231525A1 (en) 2016-08-01 2019-08-01 Mitraltech Ltd. Minimally-invasive delivery systems
EP3496664B1 (en) 2016-08-10 2021-09-29 Cardiovalve Ltd Prosthetic valve with concentric frames
WO2018027788A1 (en) 2016-08-11 2018-02-15 Covidien Lp Endoscopic surgical clip applier and clip applying systems
AU2016420481A1 (en) 2016-08-25 2019-01-17 Covidien Lp Endoscopic surgical clip applier and clip applying systems
FR3056902B1 (en) * 2016-10-02 2021-11-19 Xavier Renard MEDICAL FORCEPS
US10660651B2 (en) 2016-10-31 2020-05-26 Covidien Lp Endoscopic reposable surgical clip applier
US10639044B2 (en) 2016-10-31 2020-05-05 Covidien Lp Ligation clip module and clip applier
US10426489B2 (en) 2016-11-01 2019-10-01 Covidien Lp Endoscopic reposable surgical clip applier
US10492795B2 (en) 2016-11-01 2019-12-03 Covidien Lp Endoscopic surgical clip applier
US10610236B2 (en) 2016-11-01 2020-04-07 Covidien Lp Endoscopic reposable surgical clip applier
US10709455B2 (en) 2017-02-02 2020-07-14 Covidien Lp Endoscopic surgical clip applier
US10758244B2 (en) 2017-02-06 2020-09-01 Covidien Lp Endoscopic surgical clip applier
US11116514B2 (en) 2017-02-06 2021-09-14 Covidien Lp Surgical clip applier with user feedback feature
US10660725B2 (en) 2017-02-14 2020-05-26 Covidien Lp Endoscopic surgical clip applier including counter assembly
US11497507B2 (en) 2017-02-19 2022-11-15 Orpheus Ventures, Llc Systems and methods for closing portions of body tissue
US10603038B2 (en) 2017-02-22 2020-03-31 Covidien Lp Surgical clip applier including inserts for jaw assembly
US11583291B2 (en) 2017-02-23 2023-02-21 Covidien Lp Endoscopic surgical clip applier
US10548602B2 (en) 2017-02-23 2020-02-04 Covidien Lp Endoscopic surgical clip applier
US11045627B2 (en) 2017-04-18 2021-06-29 Edwards Lifesciences Corporation Catheter system with linear actuation control mechanism
US11259815B2 (en) 2017-05-04 2022-03-01 Hangzhou Ags Medtech Co., Ltd. End effector instrument, end effector device, delivery device, and assembly box
US10675043B2 (en) 2017-05-04 2020-06-09 Covidien Lp Reposable multi-fire surgical clip applier
US10722235B2 (en) 2017-05-11 2020-07-28 Covidien Lp Spring-release surgical clip
US10639032B2 (en) 2017-06-30 2020-05-05 Covidien Lp Endoscopic surgical clip applier including counter assembly
US10660723B2 (en) 2017-06-30 2020-05-26 Covidien Lp Endoscopic reposable surgical clip applier
CN107320193B (en) * 2017-07-31 2023-06-30 成都博恩思医学机器人有限公司 Connecting assembly, surgical instrument of surgical robot and surgical robot
US12064347B2 (en) 2017-08-03 2024-08-20 Cardiovalve Ltd. Prosthetic heart valve
US11793633B2 (en) 2017-08-03 2023-10-24 Cardiovalve Ltd. Prosthetic heart valve
US10675112B2 (en) 2017-08-07 2020-06-09 Covidien Lp Endoscopic surgical clip applier including counter assembly
US10863992B2 (en) 2017-08-08 2020-12-15 Covidien Lp Endoscopic surgical clip applier
US10932790B2 (en) 2017-08-08 2021-03-02 Covidien Lp Geared actuation mechanism and surgical clip applier including the same
US10786262B2 (en) 2017-08-09 2020-09-29 Covidien Lp Endoscopic reposable surgical clip applier
US10786263B2 (en) 2017-08-15 2020-09-29 Covidien Lp Endoscopic reposable surgical clip applier
US10835341B2 (en) 2017-09-12 2020-11-17 Covidien Lp Endoscopic surgical clip applier and handle assemblies for use therewith
US10653429B2 (en) 2017-09-13 2020-05-19 Covidien Lp Endoscopic surgical clip applier
US10758245B2 (en) 2017-09-13 2020-09-01 Covidien Lp Clip counting mechanism for surgical clip applier
US10835260B2 (en) 2017-09-13 2020-11-17 Covidien Lp Endoscopic surgical clip applier and handle assemblies for use therewith
US10835221B2 (en) 2017-11-02 2020-11-17 Valtech Cardio, Ltd. Implant-cinching devices and systems
US10945734B2 (en) 2017-11-03 2021-03-16 Covidien Lp Rotation knob assemblies and surgical instruments including the same
US11116513B2 (en) 2017-11-03 2021-09-14 Covidien Lp Modular surgical clip cartridge
US10932791B2 (en) 2017-11-03 2021-03-02 Covidien Lp Reposable multi-fire surgical clip applier
US11376015B2 (en) 2017-11-03 2022-07-05 Covidien Lp Endoscopic surgical clip applier and handle assemblies for use therewith
US10828036B2 (en) 2017-11-03 2020-11-10 Covidien Lp Endoscopic surgical clip applier and handle assemblies for use therewith
US11135062B2 (en) 2017-11-20 2021-10-05 Valtech Cardio Ltd. Cinching of dilated heart muscle
US10722236B2 (en) 2017-12-12 2020-07-28 Covidien Lp Endoscopic reposable surgical clip applier
US10849630B2 (en) 2017-12-13 2020-12-01 Covidien Lp Reposable multi-fire surgical clip applier
US10743887B2 (en) 2017-12-13 2020-08-18 Covidien Lp Reposable multi-fire surgical clip applier
US10959737B2 (en) 2017-12-13 2021-03-30 Covidien Lp Reposable multi-fire surgical clip applier
EP3735188A4 (en) 2018-01-05 2021-09-22 Theragi LLC SURGICAL CLIP AND INSERTION SYSTEM
US11051827B2 (en) 2018-01-16 2021-07-06 Covidien Lp Endoscopic surgical instrument and handle assemblies for use therewith
WO2019145947A1 (en) 2018-01-24 2019-08-01 Valtech Cardio, Ltd. Contraction of an annuloplasty structure
EP3743014B1 (en) 2018-01-26 2023-07-19 Edwards Lifesciences Innovation (Israel) Ltd. Techniques for facilitating heart valve tethering and chord replacement
AU2019243731B2 (en) 2018-03-28 2024-12-12 Datascope Corp. Device for atrial appendage exclusion
US10993721B2 (en) 2018-04-25 2021-05-04 Covidien Lp Surgical clip applier
CN109044473B (en) * 2018-06-14 2020-06-02 宁波胜杰康生物科技有限公司 Detachable endoscopic anastomosis clamp
EP3820406B1 (en) 2018-07-12 2023-12-20 Edwards Lifesciences Innovation (Israel) Ltd. Annuloplasty systems and locking tools therefor
US10786273B2 (en) 2018-07-13 2020-09-29 Covidien Lp Rotation knob assemblies for handle assemblies
US11259887B2 (en) 2018-08-10 2022-03-01 Covidien Lp Feedback mechanisms for handle assemblies
US11278267B2 (en) 2018-08-13 2022-03-22 Covidien Lp Latch assemblies and surgical instruments including the same
US11344316B2 (en) 2018-08-13 2022-05-31 Covidien Lp Elongated assemblies for surgical clip appliers and surgical clip appliers incorporating the same
US11246601B2 (en) 2018-08-13 2022-02-15 Covidien Lp Elongated assemblies for surgical clip appliers and surgical clip appliers incorporating the same
US11253267B2 (en) 2018-08-13 2022-02-22 Covidien Lp Friction reduction mechanisms for handle assemblies
US11051828B2 (en) 2018-08-13 2021-07-06 Covidien Lp Rotation knob assemblies and surgical instruments including same
US11033256B2 (en) 2018-08-13 2021-06-15 Covidien Lp Linkage assembly for reusable surgical handle assemblies
US11219463B2 (en) 2018-08-13 2022-01-11 Covidien Lp Bilateral spring for surgical instruments and surgical instruments including the same
US11147566B2 (en) 2018-10-01 2021-10-19 Covidien Lp Endoscopic surgical clip applier
US10512483B1 (en) * 2018-11-13 2019-12-24 T & J Enterprises, Llc Cervical tenaculum device
US11497526B2 (en) * 2018-11-13 2022-11-15 T & J Enterprises, Llc Cervical tenaculum device
CN111214271A (en) * 2018-11-27 2020-06-02 杨西群 Variable-diameter shape memory alloy closing clamp and stacked multiple-variable-diameter closing clamp device
CN111214272A (en) * 2018-11-27 2020-06-02 杨西群 Shape memory alloy closure clip and stacked multiple closure clip device
US11524398B2 (en) 2019-03-19 2022-12-13 Covidien Lp Gear drive mechanisms for surgical instruments
CN113950308A (en) 2019-05-29 2022-01-18 瓦尔泰克卡迪欧有限公司 Tissue anchor access system and method
US11369355B2 (en) 2019-06-17 2022-06-28 Coherex Medical, Inc. Medical device and system for occluding a tissue opening and method thereof
CN110859651B (en) * 2019-09-18 2020-11-17 希罗镜下医疗科技发展(上海)有限公司 Detachable anastomosis clamp
CN110575218B (en) * 2019-09-18 2020-09-04 希罗镜下医疗科技发展(上海)有限公司 Obliquely-cut clamping cap and anastomosis device with same
CN110559038B (en) * 2019-09-18 2021-03-30 希罗镜下医疗科技发展(上海)有限公司 Duckbilled clip applying cap and anastomosis device with same
JP2022551425A (en) 2019-09-25 2022-12-09 カーディアック・インプランツ・エルエルシー Heart annulus reduction system
CR20210640A (en) 2019-10-29 2022-05-30 Valtech Cardio Ltd ANNULOPLASTY AND TISSUE ANCHORAGE TECHNOLOGIES
US11779340B2 (en) 2020-01-02 2023-10-10 Covidien Lp Ligation clip loading device
US11723669B2 (en) 2020-01-08 2023-08-15 Covidien Lp Clip applier with clip cartridge interface
US12114866B2 (en) 2020-03-26 2024-10-15 Covidien Lp Interoperative clip loading device
JP2023527304A (en) 2020-05-20 2023-06-28 カーディアック・インプランツ・エルエルシー Heart valve annulus diameter reduction by independently controlling each anchor driven into the heart valve annulus
WO2022072041A1 (en) * 2020-09-30 2022-04-07 Boston Scientific Scimed, Inc. Repositionable closure device
US11986186B2 (en) * 2020-11-02 2024-05-21 Boston Scientific Scimed, Inc. Fastening devices and related methods of use
US11812969B2 (en) 2020-12-03 2023-11-14 Coherex Medical, Inc. Medical device and system for occluding a tissue opening and method thereof
CN112790805B (en) * 2021-01-28 2025-03-04 江苏唯德康医疗科技有限公司 Anastomotic clip removal kit
KR20230164742A (en) * 2021-04-07 2023-12-04 보스톤 싸이엔티픽 싸이메드 인코포레이티드 Medical device comprising a hemostatic clip
EP4243706A1 (en) * 2021-05-26 2023-09-20 Boston Scientific Medical Device Limited Repositionable over the scope clip
US20230181196A1 (en) * 2021-12-14 2023-06-15 Boston Scientific Medical Device Limited Repositionable over the scope clip
CN118541097A (en) * 2022-01-14 2024-08-23 波士顿科学医疗设备有限公司 Out-of-range clip for repositionable platform
WO2023172349A1 (en) * 2022-03-07 2023-09-14 Boston Scientific Medical Device Limited Repositional over the scope clip with frangible link
US20240398421A1 (en) * 2023-05-31 2024-12-05 Boston Scientific Scimed, Inc. Removable over-the-scope clip

Family Cites Families (72)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE2157911C2 (en) 1970-12-11 1982-02-04 Marc Edmond Jean van Bruxelles Hoorn Surgical device for ligating internal structures
US3882854A (en) * 1973-08-23 1975-05-13 Research Corp Surgical clip and applicator
JPS5320957Y2 (en) 1973-11-14 1978-06-01
SU715082A1 (en) 1977-01-24 1980-02-15 Всесоюзный научно-исследовательский и испытательный институт медицинской техники Surgical suturing apparatus
US4217902A (en) 1977-05-02 1980-08-19 March Alfred L Hemostatic clip
AR218795A1 (en) 1979-12-11 1980-06-30 Derechinsky V CLIP-HOLDING INSTRUMENT FOR THE "CLIPPING" OF BLOOD GLASSES
US4317451A (en) * 1980-02-19 1982-03-02 Ethicon, Inc. Plastic surgical staple
US4485816A (en) 1981-06-25 1984-12-04 Alchemia Shape-memory surgical staple apparatus and method for use in surgical suturing
US4512338A (en) 1983-01-25 1985-04-23 Balko Alexander B Process for restoring patency to body vessels
US5190546A (en) 1983-10-14 1993-03-02 Raychem Corporation Medical devices incorporating SIM alloy elements
CH668691A5 (en) 1985-05-31 1989-01-31 Alice Dr Med Utz WIND CLASP.
US4796627A (en) 1986-08-26 1989-01-10 Tucker Wilson H Clip applicator and spreadable clips for use therein
US5478353A (en) * 1987-05-14 1995-12-26 Yoon; Inbae Suture tie device system and method for suturing anatomical tissue proximate an opening
SE460455B (en) 1987-09-30 1989-10-16 Astra Meditec Ab SURGICAL INSTRUMENT FOR BONDING INTERNAL WEAVES
US5100420A (en) 1989-07-18 1992-03-31 United States Surgical Corporation Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures
US4958792A (en) 1989-05-09 1990-09-25 B-Line Systems, Inc. Clip for supporting conduit and the like
JPH0311083A (en) * 1989-06-08 1991-01-18 Toray Dow Corning Silicone Co Ltd Silylating agent
US5026379A (en) * 1989-12-05 1991-06-25 Inbae Yoon Multi-functional instruments and stretchable ligating and occluding devices
DE3941108C1 (en) 1989-12-13 1991-06-27 Richard Wolf Gmbh, 7134 Knittlingen, De
US5015249A (en) 1989-12-26 1991-05-14 Nakao Naomi L Endoscopic stapling device and method
US5049153A (en) * 1989-12-26 1991-09-17 Nakao Naomi L Endoscopic stapling device and method
US5156609A (en) 1989-12-26 1992-10-20 Nakao Naomi L Endoscopic stapling device and method
US5324307A (en) 1990-07-06 1994-06-28 American Cyanamid Company Polymeric surgical staple
US5163343A (en) 1992-02-21 1992-11-17 Gish Donald A System for fastening plies of fabric
US5436468A (en) * 1992-03-17 1995-07-25 Fujitsu Limited Ordered mixed crystal semiconductor superlattice device
US5405378A (en) 1992-05-20 1995-04-11 Strecker; Ernst P. Device with a prosthesis implantable in the body of a patient
JPH0647050A (en) * 1992-06-04 1994-02-22 Olympus Optical Co Ltd Tissue suture and ligature device
US5437266A (en) 1992-07-02 1995-08-01 Mcpherson; William Coil screw surgical retractor
US5413571A (en) 1992-07-16 1995-05-09 Sherwood Medical Company Device for sealing hemostatic incisions
DE4228909C2 (en) 1992-08-28 1994-06-09 Ethicon Gmbh Endoscopic instrument for the application of ligature binders and ligature binders
US5868761A (en) * 1992-10-09 1999-02-09 United States Surgical Corporation Surgical clip applier
US5382259A (en) 1992-10-26 1995-01-17 Target Therapeutics, Inc. Vasoocclusion coil with attached tubular woven or braided fibrous covering
US5334216A (en) 1992-12-10 1994-08-02 Howmedica Inc. Hemostatic plug
US5356424A (en) 1993-02-05 1994-10-18 American Cyanamid Co. Laparoscopic suturing device
US5624453A (en) 1993-02-23 1997-04-29 Wilson-Cook Medical, Inc. Endoscopic ligating instrument
US5320630A (en) 1993-02-23 1994-06-14 Munir Ahmed Endoscopic ligating instrument for applying elastic bands
US5439468A (en) 1993-05-07 1995-08-08 Ethicon Endo-Surgery Surgical clip applier
US5368600A (en) 1993-07-23 1994-11-29 Ethicon, Inc. Steerable bulldog clamp applier
DK0786416T3 (en) * 1993-08-12 2000-07-10 Poly Clip System Gmbh & Co Kg Plastic clamp in two parts
JP2958219B2 (en) 1993-08-20 1999-10-06 住友ベークライト株式会社 Endoscopic ligation kit
US5512053A (en) * 1993-12-16 1996-04-30 Dexide, Inc. Surgical sleeve and trocar
US5398844A (en) 1994-01-31 1995-03-21 Boston Scientific Corporation Multiple ligating band dispenser
CH687060A5 (en) 1994-02-11 1996-09-13 Alice Walder Utz Dr Piece surgical clip.
TW288967B (en) 1994-04-26 1996-10-21 Top Kk
US5582616A (en) 1994-08-05 1996-12-10 Origin Medsystems, Inc. Surgical helical fastener with applicator
WO1996014020A1 (en) 1994-11-02 1996-05-17 Olympus Optical Co. Ltd. Endoscope operative instrument
WO1996016603A1 (en) 1994-11-28 1996-06-06 Creighton University Shape-memory hemostatic staple
US5797933A (en) * 1996-07-16 1998-08-25 Heartport, Inc. Coronary shunt and method of use
US5976159A (en) * 1995-02-24 1999-11-02 Heartport, Inc. Surgical clips and methods for tissue approximation
US5904697A (en) * 1995-02-24 1999-05-18 Heartport, Inc. Devices and methods for performing a vascular anastomosis
US6110187A (en) * 1995-02-24 2000-08-29 Heartport, Inc. Device and method for minimizing heart displacements during a beating heart surgical procedure
US5695504A (en) 1995-02-24 1997-12-09 Heartport, Inc. Devices and methods for performing a vascular anastomosis
US6132438A (en) 1995-06-07 2000-10-17 Ep Technologies, Inc. Devices for installing stasis reducing means in body tissue
US5662683A (en) 1995-08-22 1997-09-02 Ortho Helix Limited Open helical organic tissue anchor and method of facilitating healing
EP0955894A4 (en) * 1995-08-25 2001-02-28 R Thomas Grotz Stabilizer for human joints
US5603694A (en) 1995-10-17 1997-02-18 Brown; Joe E. Infusion coil apparatus and method for delivering fluid-based agents intravascularly
US5674231A (en) 1995-10-20 1997-10-07 United States Surgical Corporation Apparatus and method for vascular hole closure
US5582615A (en) 1995-10-30 1996-12-10 Pilling Weck, Incorporated Handle for surgical clip applicator systems
US5772576A (en) * 1995-12-11 1998-06-30 Embro Vascular L.L.C. Apparatus and method for vein removal
DE19603889C2 (en) * 1996-02-03 1999-05-06 Aesculap Ag & Co Kg Surgical application device
US6099537A (en) * 1996-02-26 2000-08-08 Olympus Optical Co., Ltd. Medical treatment instrument
JPH09224944A (en) 1996-02-26 1997-09-02 Olympus Optical Co Ltd Suturing/ligating tool
JP3776529B2 (en) * 1996-02-29 2006-05-17 オリンパス株式会社 Clip device
US5922020A (en) * 1996-08-02 1999-07-13 Localmed, Inc. Tubular prosthesis having improved expansion and imaging characteristics
US5868763A (en) * 1996-09-16 1999-02-09 Guidant Corporation Means and methods for performing an anastomosis
AU4490097A (en) 1996-10-25 1998-05-22 Smith & Nephew, Inc. Surgical vessel clips and methods for closing vessels
US5928251A (en) * 1997-09-18 1999-07-27 United States Surgical Corporation Occlusion clamp and occlusion clamp applicator
GB9722203D0 (en) 1997-10-21 1997-12-17 Univ London Surgical clip
US5972002A (en) * 1998-06-02 1999-10-26 Cabot Technology Corporation Apparatus and method for surgical ligation
US7569062B1 (en) * 1998-07-15 2009-08-04 St. Jude Medical, Inc. Mitral and tricuspid valve repair
DE29822567U1 (en) 1998-12-18 1999-02-25 Aesculap AG & Co. KG, 78532 Tuttlingen Vascular clip
US6428548B1 (en) 1999-11-18 2002-08-06 Russell F. Durgin Apparatus and method for compressing body tissue

Also Published As

Publication number Publication date
DE60239549D1 (en) 2011-05-05
US8043307B2 (en) 2011-10-25
AU2002322300B2 (en) 2008-01-17
US20050192596A1 (en) 2005-09-01
US6911032B2 (en) 2005-06-28
US20120095480A1 (en) 2012-04-19
EP1435849A1 (en) 2004-07-14
US20040097982A1 (en) 2004-05-20
WO2003026516A1 (en) 2003-04-03
US20020062130A1 (en) 2002-05-23
US7488334B2 (en) 2009-02-10
JP4339114B2 (en) 2009-10-07
CA2428005C (en) 2009-12-15
EP1435849B1 (en) 2011-03-23
JP2005503231A (en) 2005-02-03

Similar Documents

Publication Publication Date Title
CA2428005A1 (en) Apparatus and method for deploying a clip to compress body tissue
US11779338B2 (en) Devices for approximating tissue and related
JP7440594B2 (en) SYSTEMS, APPARATUS AND RELATED METHODS FOR TRANSMISSION
EP2875786A3 (en) Apparatus for applying surgical clips
CN1331441C (en) Wound retractor
CN1969769B (en) Surgical clip and applier device and usage method
CA2435870A1 (en) Through the scope endoscopic hemostatic clipping device
CA2482416C (en) Surgical device with malleable shaft
EP1230899B1 (en) Deployable surgical clamp with delivery/retrieval device and actuator
KR910700028A (en) Multifunctional medical device and ligation occlusal device
US20060161181A1 (en) Apparatus for accurately deploying particular medical appliances at a target site
US20040153100A1 (en) Multiple clip applier apparatus and method
US9289213B2 (en) Multiple clip applier apparatus and method
CA2313424A1 (en) Ratchet release mechanism for hand held instruments
GB1599990A (en) Applicators for surgical clips
EP1317905A3 (en) Apparatus for applying surgical clips
CA2461847A1 (en) Surgical tool having a distal ratchet mechanism
CA2541210A1 (en) Endoscopic hemostatic clipping apparatus
CA2249846A1 (en) Surgical instrument for forming a knot
EP1862125A3 (en) Medical suturing tool with gripping device
WO2004089458A8 (en) Implanting device and method of using same
EP2301448A3 (en) Endoscopic surgical clip applier
EP2510883A3 (en) Method and apparatus for applying a knot to a suture
WO2004019788A3 (en) Devices and methods for fastening tissue layers
EP2774552A3 (en) Endoscopic surgical clip applier

Legal Events

Date Code Title Description
EEER Examination request
MKLA Lapsed

Effective date: 20190626